Why Do Tear Troughs Make You Look Older and Tired?
Tear troughs are the hollowed grooves between the lower orbital rim and the cheek. They develop from three main causes: congenital bone structure, age-related fat loss causing tissue atrophy under the eyes, and skin laxity causing tissue to descend. Deep tear troughs create shadows that make you look fatigued even after a full night’s sleep — one of the most aging features of the eye area.
📍 Rappoel Dermatology Clinic · 5F, 77 Seocho-daero, Seocho-gu, Seoul · 3-min walk from Gangnam Station Exit 10
Tear Trough HA Filler: Rappoel’s Precision Injection Approach
The tear trough sits above the periosteum of the orbital rim — one of the most delicate, highest-risk injection zones on the face. Rappoel doctors use a supraperiosteal injection technique, placing a small volume of soft, low-viscosity hyaluronic acid precisely in the hollowed area. This avoids the overfilled, puffy “sausage” appearance that results from incorrect technique.
Who Is a Good Candidate for Tear Trough Filler?
- Visible under-eye hollow, prominent static tear trough
- Shadow-based dark circles (not pigmentation or vascular)
- Ages 20–45 with sufficient skin elasticity
- Those seeking improvement without surgery
- Prominent fat-pad eye bags (require different approach)
- Significant skin sagging (combine with lifting treatment)
- Pre-existing undissolved filler (requires evaluation first)
Post-Treatment Care for Tear Trough Filler
Mild swelling around the eye area for 24–48 hours is normal and typically resolves within 3–5 days. Avoid rubbing eyes and high-temperature environments (saunas) for 1 week. A 2-week follow-up check is recommended. Results generally last 9–18 months depending on individual metabolism.
Treatment Combinations with Tear Trough Filler
For eye-area wrinkles, combine with botox for crow’s feet or orbicularis oculi relaxation. For eyelid laxity, combine with HIFU around the eye area. For overall facial volume loss, Rappoel doctors may recommend combining tear trough filler with cheek or nasolabial fold filler in the same session for a comprehensive rejuvenation effect.
Frequently Asked Questions
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